General and addiction psychiatry, child and adolescent psychiatry, psychotherapy, ketamine assisted psychotherapy, psychedelics consultations

We offer a variety of services in general psychiatry, addiction psychiatry, and child / adolescent psychiatry, offer consultations regarding psychedelics, and offer ketamine assisted psychotherapy for psychiatric indications such as treatment resistant depression (TRD), post-traumatic stress disorder (PTSD), substance use disorders, and more.   For a detailed listing of procedures and different modalities offered, please read below.  Ketamine and ketamine assisted psychotherapy is described in further detail here. 

First visits tend to be longer and are typically at 1 hour in duration for adults (or 1.5 hours for children or adolescents) which includes an extensive history, diagnosis, creating a collaborative treatment plan, various treatment options (including lifestyle changes, psychotherapy, and medication options), and discussion on these topics.  If indicated and desired, medications can be prescribed on the first visit, or sometimes this first visit may entail discussion of possible options.  Frequency of follow up is adjusted to the needs of the individual:  for someone recently hospitalized or desiring psychotherapy the next follow up session could be the following week. In contrast, someone on a stable dose of medications, without any pressing issues could manage with appointments every two to three months.  We are also available for one time consultation visits, to provide a second opinion on diagnosis or treatment, or for addiction evaluations mandated by licensing boards.

Speaking engagements, training, consulting, clinical trials, expert witness testimony

Outside of clinical work, we are also available for speaking engagements, consulting, expert witness testimony, and professional training on such topics as psychedelics, or ketamine assisted psychotherapy. Please contact the office for details.

General psychiatry

  • evaluation

  • diagnosis

  • treatment planning

  • consultation / diagnostic clarification / second opinion

  • medication management / psychopharmacology

  • telehealth / telepsychiatry via doxy.me

  • laboratory blood testing / Quest laboratories

  • urine toxicology testing

  • genetic testing / Genomind

  • psychotherapy - individual, couples, family

  • anxiety disorders: post-traumatic stress disorder (PTSD), generalized anxiety disorder, social phobia / social anxiety, performance anxiety / fear of public speaking / stage fright, panic disorder / panic attacks, obsessive compulsive disorder (OCD)

  • mood disorders: major depressive disorder / episodes, dysthymia, adjustment disorder, bipolar disorder, depression, mania, hypomania, treatment resistant depression (TRD)

  • psychotic disorders: schizophrenia, schizoaffective disorder, psychotic depression, bipolar I disorder

  • substance use disorders, and substance induced disorders

  • attention deficit hyperactivity disorder (ADHD)

  • insomnia and sleep disorders

  • personality disorders

  • sexual dysfunction / treatment of sexual side effects

  • forms / letters, including for emotional support animals and more

Addiction psychiatry (with Wesley Ryan, M.D.)

  • addiction evaluations, licensing/employment evaluations (ie, for nursing, medicine, transportation)

  • substance use disorders / "drug and alcohol problems"

  • dual diagnosis; ie, overlap between general psychiatry and substance use disorders

  • substance induced disorders: mood, depression, anxiety, psychosis

  • tolerance, withdrawal, dependence

  • detoxification, including evaluation for inpatient or outpatient level of care

  • maintenance treatment / relapse prevention (opioid agonist treatment / suboxone, naltrexone / Vivitrol, disulfiram, acamprosate)

  • psychotherapy - motivational interviewing and more

  • harm reduction

  • drug use monitoring / urine toxicology testing and interpretation

  • opiate / opioid use disorder (oxycodone / Percocet, hydrocodone / Vicodin, methadone, heroin)

  • alcohol use disorder / "alcoholism"

  • sedative-hypnotic use disorder (Valium, Xanax, Ativan, Klonopin, benzodiazepines, quaaludes, barbiturates, gamma hydroxy butyrate)

  • cannabis use disorder / "marijuana addiction" (including synthetic cannabinoids such as "Spice")

  • cannabinoid hyperemesis syndrome

  • hallucinogen use disorder (LSD, psilocybin, ibogaine, mescaline, 2C-series, 25-I, "club drugs", and various other substances such as synthetic phenethylamines and tryptamines)

  • hallucinogen persisting perception disorder (HPPD)

  • methamphetamine / amphetamine use disorder

  • cocaine use disorder / crack cocaine use disorder

  • tobacco use disorder

  • caffeine use disorder

  • gambling disorder / gambling addiction

  • behavioral addictions / sex addiction / video game addiction

  • expert witness / court testimony / forensic consultation

Child and adolescent psychiatry (with Alan Hanft, M.D.)

  • evaluation

  • diagnosis

  • treatment planning

  • consultation / diagnostic clarification / second opinion

  • medication management / psychopharmacology

  • treatment for attention deficit hyperactivity disorder (ADHD)

Specific treatments

  • ketamine infusions / injections for treatment resistant depression (TRD), post-traumatic stress disorder (PTSD), and more. See the ketamine page for more information

  • nasal esketamine (Spravato), FDA-approved for treatment of depression. See the ketamine page for more information

  • buprenorphine / Suboxone or Sublocade depot for opiate use disorder

  • naltrexone or depot naltrexone (Vivitrol) for opiate use disorder, see Alkermes website with patient information and more

  • naloxone (Narcan) rescue kits for opiate use disorder

  • omega-3 fatty acids / fish oil / Vascepa / Lovaza for depression, anxiety, ADHD, and/or psychosis

  • stimulants (Adderall, amphetamine, Ritalin, methylphenidate) and non stimulant alternatives (guanfacine, atomoxetine) for ADHD

  • propranolol (Inderal) for performance anxiety, anxiety

  • N-Acetylcysteine, for treatment of skin picking, hair pulling, impulse control disorders, gambling, and cannabis use disorder; see this article

  • clozapine (Clozaril) for treatment refractory schizophrenia and bipolar I disorder

  • medical marijuana / cannabis and CBD for PTSD or anxiety

  • thyroid hormone supplementation for treatment resistant depression

  • light therapy for depression or bipolar depression, as well as seasonal affective disorder (including blue blocking glasses and light box treatment), see research papers here, and here, and here, and here

  • preparatory and integrative therapy sessions for psychedelic sessions (e.g., ayahuasca, psilocybin)

  • complementary psychiatry (for example, vitamin D and/or L-methylfolate supplementation such as with Enlyte, Enbrace HR, or Deplin)

  • probiotics for bipolar mania prophylaxis / prevention (Lactobacillus rhamnosus strain GG, Bifidobacterium animalis subsp. lactis strain Bb12), see research paper here

  • whole body hyperthermia for depression, see research paper here

  • individualized tapers for SSRI discontinuation syndrome, see research paper here